Individual
RACHEAL BUNDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CEO
Contact information
Practice address
2604 JOHNSON RD, UPPER CHICHESTER, PA 19061-3523
(267) 408-2202
(484) 229-1188
Mailing address
2604 JOHNSON RD, UPPER CHICHESTER, PA 19061-3523
(267) 408-2202
(484) 229-1188
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
CER-00091663
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CER-00091663
—
PA
Enumeration date
03/17/2016
Last updated
03/17/2016
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